Premier Autism Services
Behavior Analyst in Louisville, KY. Organization (NPI-2).
NPI number1346848314
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1346848314
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Autism Services
- Organization subpart
- No
- Enumeration date
- Oct 13, 2020
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
312 S 4th St Ste 700Louisville, KY 40202-3046
Phone 502-305-5730 · Fax 502-305-5740
Mailing address
211 Boulevard Of Americas Ste 402Lakewood, NJ 08701-4778
Phone 502-305-5730
Authorized official
Jason Hersko
Owner
5023055730
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